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Contact Information

ASPEN HILLS DENTAL LLC
800 SOUTH WASHINGTON ST.
AFTON, WY83110
 Phone: 307-885-4337
 Fax: 307-885-4334
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for ASPEN HILLS DENTAL LLC

NPI Number 1417351602
LBN Legal business name ASPEN HILLS DENTAL LLC
Authorized official JEANELLE LIVINGSTON - (OPERATIONS LEADER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/16/2014
Last updated 04/06/2017 - About 9 years ago
Identifiers
WY License # 910
WY Medicaid 112487100
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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